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1124856364
CONSTACE GIBSON, MFT LLC
SANTA ROSA, CA
NPI
1124856364
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Entity Type
Organization
Authorized Contact
CONSTANCE GIBSON
Owner
707-583-9287
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
CONSTACE GIBSON, MFT LLC
2613 VILLAGE SIDE DR
SANTA ROSA, CA 95405-6849
Phone number: 707-583-9287
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Mailing Address
CONSTACE GIBSON, MFT LLC
PO BOX 11746
OLYMPIA, WA 98508-1746
Phone number: 707-583-9287
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